ABSTRACT Intestinal parasitic infections (IPIs) are neglected diseases caused by helminths and protozoa, with the relationships between parasite, host and environment having the potential to produce high morbidity and incapacity to work and mortality in vulnerable areas. This study assessed the prevalence of IPIs concerning socio-environmental conditions and analyzed the knowledge, attitudes and practices related to these diseases among men living in the slums of Rio de Janeiro city, Rio de Janeiro State, Brazil. A cross-sectional study was conducted in an agglomeration of urban slums between 2018 and 2019, with men aged between 20 and 59 years. A socioeconomic status questionnaire and an IPIs knowledge, attitudes and practices questionnaire (KAPQ) were applied. Coproparasitological diagnoses (n=454) were performed using four methods and samples of water for household consumption (n=392) were subjected to microbiological and physicochemical analysis. A total of 624 participants were enrolled. About 40% of the households had “water unsuitable for consumption”. Only one Major Area, MA 3 was not statistically significant for IPIs (AOR=0.75; 95% CI: 0.30-1.88; p=0.55). The overall prevalence of IPIs was 23.8%. Endolimax nana (n=65, 14.3%) and hookworm (n=8, 1.7%) were the most frequently identified parasites. The analysis of the frequency of responses to the KAPQ has shown that men reported to seeking medical care if they were suspicious of IPIs, and around 35% would self-medicate. The results have shown the need to adopt integrated health education practices targeting male residents in urban slums to qualify the care with water for human consumption and promote self-care about IPIs. The household can be considered strategic for Primary Health Care activities for men.

ABSTRACT Poverty, malnutrition and neglected tropical diseases such as soil-transmitted helminthiases (STHs) interact in a multi-causal feedback network. This study aimed to assess the relationships between STHs, income and nutritional status of children in impoverished communities in the city of Caxias, Maranhao State, Northeastern Brazil. A cross-sectional survey (n=259 children) was carried out with the collection of fecal samples and assessment of sociodemographic, anthropometric, dietary and sanitation data. Hookworm infection and ascariasis presented prevalence rates of 14.3% and 9.3%, respectively. The logistic regression analysis showed that hookworm infection was more frequent in males (odds ratio [OR]=3.43; 95% confidence interval [CI]=1.45-8.08), children aged 11-15 years old (OR=3.72; 95% CI=1.19-11.62), children living in poor families (OR=2.44; 95% CI=1.04-5.68) and those living in rented houses (OR=5.74; 95%CI=1.91-17.25). Concerning ascariasis, living in the Caldeiroes community (OR=0.01; 95%CI=0-0.17) and belonging to the 11-15 years age group (OR=0.21; 95%CI=0.04-1.02) were protection factors. Poor children have a significantly lower frequency of consumption of meat, milk, vegetables, tubers and fruits than not poor children. The frequent consumption of meat, milk and tubers was associated with significant higher values in the parameter height-for-age, whereas the consumption of meat and milk positively influenced the weight-for-age. The frequencies of stunting, underweight and wasting were 8.1%, 4.9% and 2.9%, respectively. The multivariate model demonstrated that stunting was significantly associated with economic poverty (OR=2.82; 95%CI=1.03-7.70) and low weight was associated with male sex (OR=6.43; 95% CI=1.35-30.68). In conclusion, the study describes the interactions between the dimensions of development represented by income, STHs and nutritional status revealing the importance of raising income levels to improve the living conditions of families in impoverished communities in Northeastern Brazil.

Resumo O objetivo do estudo foi analisar a qualidade da água potável utilizada nas residências em favelas urbanas brasileiras, de acordo com as normas estabelecidas nas legislações Brasileiras. Os parâmetros bacteriológicos (n = 231) e físico-químicos (n = 134) foram analisados, de acordo com Standard Methods for the Examination of Water and Wastewater. Os resultados revelaram que a água consumida, em grande parte, excede os límites dos padrões de qualidade de água potável, o que coloca em risco a saúde da população e reforça a urgência das políticas públicas sociais.

Abstract The study analyzed the quality of drinking water used in Brazilian urban slum residences according to the standards established in Brazilian regulations. Bacteriological (n=231) and physicochemical parameters (n=134) were analyzed, as the Standard Methods for the Examination of Water and Wastewater establishes. The results revealed that contaminants in the water consumed, for the most part, exceed the limits of drinking water quality standards, putting the population's health at risk and reinforcing the urgency of the need for public policies.

Resumo Nas comunidades de Manguinhos ações de saneamento são escassas, por isso a avaliação das condições sanitárias das águas dos rios e do peridomicílio que perpassa as comunidades permite o diagnóstico do risco e da precariedade das situações de saneamento. Este estudo avaliou os níveis colimétricos (coliformes totais e Escherichia coli) pelo método de membrana filtrante, e parasitológicos (pelos métodos de Lutz e Baermann-Moraes adaptados) nas águas e no solo dos rios Faria-Timbó, Jacaré e Canal do Cunha que passam pelas comunidades do Território de Manguinhos, RJ, de acordo com os padrões estabelecidos em legislações brasileira. Em todos os pontos dos rios, a água estava imprópria com nível médio de Escherichia coli em 3.800 vezes maior do que o padrão estabelecido na Resolução CONAMA nº 274/2000. Sendo observadas larvas, ovos de helmintos e oocistos de protozoários. As amostras de solo também se apresentavam impróprias, com nível médio de coliformes totais em 77.000 vezes maior do que o aceitável pela Resolução SMAC nº 468/2010, e nível de Escherichia coli em 53.000 vezes maior do que o padrão da legislação. Contudo, somente em um ponto de amostra de solo foram encontrados ovos de helmintos. Conclui-se que os reflexos da carência de saneamento nesta localidade refletem os elevados níveis colimétricos e parasitológicos das águas dos rios e no solo peridomiciliar, sendo necessária uma urgente modificação no paradigma ambiental brasileiro, que utiliza seus corpos hídricos como veículo de disposição de esgoto.

Abstract Sanitation actions are rare in the communities of Manguinhos, so evaluation of the sanitary conditions of the river waters and the peridomestic soils of the communities allows the diagnosis of the risk of contamination. This study evaluated coliform levels (total coliforms and Escherichia coli) by the filter membrane method, and parasitological (by adapted Lutz and Baermann-Moraes methods) in the waters and soils of the Faria-Timbó, Jacaré and Canal do Cunha Rivers that pass through the communities of the Territory of Manguinhos, RJ, according to the standards established in Brazilian legislation. In all points of the rivers, the water was unfit, with an average level of Escherichia coli 3,800 times higher than that standardized in CONAMA Resolution No. 274/2000. Larvae, helminths eggs and protozoan oocysts were observed. Soil samples were also unfit, with mean total coliform level 77,000 times higher than that considered acceptable by SMAC Resolution 468/2010. The Escherichia coli average level was 53,000 times higher than that permitted by the legislation. However, helminths eggs were found in only one soil sample. It was concluded that the lack of sanitation in this locality results in the high coliform and parasitological levels of the river waters and in the peridomestic soils, and that immediate modifications are needed to the Brazilian environmental paradigm, which uses its water bodies as sewage disposal ditches.

Resumo A promoção da saúde possui um conjunto de estratégias para trazer saúde e reduzir desigualdades. No entanto, tem sido um desafio avaliar a efetividade de programas de promoção de saúde. Este artigo apresenta o desenvolvimento e a aplicação de Matriz de Avaliação, construída por meio de indicadores quali-quantitativos e multidimensionais, que estão apoiados nas políticas públicas voltadas para territórios com vulnerabilidade social. Estudo transversal, com realização de programa de promoção da saúde e a finalidade de desenvolver uma Matriz de Avaliação, com possibilidade de aplicação em duas áreas de distinta vulnerabilidade socioambiental. A Matriz de Avaliação demonstrou ser de fácil aplicação e permitiu detectar os pontos fortes e fracos dos programas de promoção da saúde aplicados em diferentes territórios. Verificou-se que a adesão dos gestores, das equipes, da população e dos diversos setores da sociedade foram decisivos para o sucesso do programa. Adicionalmente, os agentes de saúde se destacaram como atores essenciais devido ao seu vínculo com a população. As contribuições incluem instrumento e metodologia para avaliar os programas de promoção da saúde, que podem ser aplicados em realidades distintas e modificados de acordo com o território.

Abstract Health promotion has a set of strategies for advancing health and reducing inequalities. However, evaluating the effectiveness of health promotion programs has been a challenge. This paper shows the development and application of the Evaluation Matrix, constructed with qualitative-quantitative and multidimensional indicators supported by public policies targeting socially vulnerable territories. This is a cross-sectional study with the implementation of a health promotion program in order to develop an Evaluation Matrix to be applied in two distinct socio-environmentally vulnerable areas. The Evaluation Matrix proved to be easily applicable and enabled the detection of strengths and weaknesses of health promotion programs applied in different territories. The participation of managers, teams, population and multiple sectors of society was decisive for the success of the program. Furthermore, community health workers stood out as essential stakeholders due to their linkages with the population. Contributions include a tool and methodology for evaluating health promotion programs to be applied in different territories and modified according to the territory.

Resumo A promoção da saúde possui um conjunto de estratégias para trazer saúde e reduzir desigualdades. No entanto, tem sido um desafio avaliar a efetividade de programas de promoção de saúde. Este artigo apresenta o desenvolvimento e a aplicação de Matriz de Avaliação, construída por meio de indicadores quali-quantitativos e multidimensionais, que estão apoiados nas políticas públicas voltadas para territórios com vulnerabilidade social. Estudo transversal, com realização de programa de promoção da saúde e a finalidade de desenvolver uma Matriz de Avaliação, com possibilidade de aplicação em duas áreas de distinta vulnerabilidade socioambiental. A Matriz de Avaliação demonstrou ser de fácil aplicação e permitiu detectar os pontos fortes e fracos dos programas de promoção da saúde aplicados em diferentes territórios. Verificou-se que a adesão dos gestores, das equipes, da população e dos diversos setores da sociedade foram decisivos para o sucesso do programa. Adicionalmente, os agentes de saúde se destacaram como atores essenciais devido ao seu vínculo com a população. As contribuições incluem instrumento e metodologia para avaliar os programas de promoção da saúde, que podem ser aplicados em realidades distintas e modificados de acordo com o território.

Abstract Health promotion has a set of strategies for advancing health and reducing inequalities. However, evaluating the effectiveness of health promotion programs has been a challenge. This paper shows the development and application of the Evaluation Matrix, constructed with qualitative-quantitative and multidimensional indicators supported by public policies targeting socially vulnerable territories. This is a cross-sectional study with the implementation of a health promotion program in order to develop an Evaluation Matrix to be applied in two distinct socio-environmentally vulnerable areas. The Evaluation Matrix proved to be easily applicable and enabled the detection of strengths and weaknesses of health promotion programs applied in different territories. The participation of managers, teams, population and multiple sectors of society was decisive for the success of the program. Furthermore, community health workers stood out as essential stakeholders due to their linkages with the population. Contributions include a tool and methodology for evaluating health promotion programs to be applied in different territories and modified according to the territory.

ABSTRACT We carried out a cross-sectional study from January to December 2015 on 1,425 inhabitants from a floating population in the Brazilian Amazon (Murinin district, Pará State) to describe the population-based prevalence of tuberculosis (TB) from 2011 to 2014, recent TB contacts (rCts) latently infected with Mycobacterium tuberculosis (LTBI) , the coverage of the local health network, socio-environmental factors, and frequency of intestinal parasitic infection (IPI). We found that the sanitary structure was inadequate, with latrines being shared with other rooms within the same accommodation; well water was the main source of water, and 48% of families had low incomes. The average rate of TB was 105/100, 000 inhabitants per year; one third of TB patients had been household contacts of infected individuals in the past, and 23% of rCts were LTBI. More than half (65%) of 44% of the stools examined (representing 76% of the housing) had IPIs; the highest prevalence was of fecal-oral transmitted protozoa (40%, Giardia intestinalis ), followed by soil-transmitted helminths (23%). TB transmission may be related to insufficient disease control of rCts, frequent relocation, and underreporting. Education, adopting hygienic habits, improving sanitation, provision of a treated water supply and efficient sewage system, further comprehensive epidemiological surveillance of those who enter and leave the community and resources for basic treatment of IPIs are crucial in combating the transmission of these neglected diseases.

ABSTRACT Intestinal parasitic infections (IPIs) are neglected diseases with limited data regarding prevalence in Brazil and many other countries. In increasingly urban societies, investigating the profile and socioenvironmental determinants of IPIs in the general population of slum dwellers is necessary for establishing appropriate public policies catered to these environments. This study assessed the socioenvironmental conditions and prevalence of IPIs in slums of Rio de Janeiro, RJ State, Brazil. Methods A cross-sectional study covering an agglomeration of urban slums was conducted between 2015 and 2016 using participants observation, a socioeconomic survey, and the spontaneous sedimentation method with three slides per sample to analyze fresh stool specimens ( n =595) searching for intestinal parasites. Results Endolimax nana ( n =95, 16.0%) and Entamoeba coli ( n =65, 10.9%) were the most frequently identified agents, followed by Giardia intestinalis ( n =24, 4.0%) and Ascaris lumbricoides ( n =11, 1.8%). Coinfections caused by E. nana and E. histolytica/dispar and by Entamoeba coli/A. lumbricoides were significant. The use of piped water as drinking water, the presence of A. lumbricoides , and contamination with coliform bacteria and Escherichia coli were more common in major area (MA) 1. Children (0-19 years) had a greater chance of living in poverty (OR 3.36; 95% CI: 2.50- 4.52; p <0.001) which was pervasive. The predominance of protozoa parasites suggests that a one-size-fits-all approach focusing on preventive chemotherapy for soil-transmitted helminths is not appropriate for all communities in developing countries. It is important that both residents and health professionals consider the socioenvironmental conditions of urban slums when assessing intestinal parasitic infections for disease control and health promotion initiatives.

Resumo Litomosoides chagasfilhoi, originalmente descrito por Moraes Neto, Lanfredi & De Souza (1997) parasitando a cavidade abdominal do roedor silvestre Akodon cursor (Winge, 1887), foi encontrado na cavidade abdominal de Nectomys squamipes (Brants, 1827), no município de Rio Bonito, Estado do Rio de Janeiro, Brasil. Este estudo propiciou a adição de novos dados morfológicos e uma nova distribuição geográfica deste filarídeo no Brasil. Vários caracteres foram detalhados e adicionados ao registro anterior de L. chagasfilhoi em N. squamipes, e confirmando a descrição original em A. cursor: cápsula bucal mais alta do que larga com paredes mais finas que o lúmen, espículo direito ligeiramente esclerotizado, com extremidade distal membranosa mais estreita, com uma pequena porção terminal em forma de língua, espículo esquerdo com cabo mais longo do que a lâmina, cujas bordas formam grandes asas membranosas dobradas longitudinalmente.

Abstract Litomosoides chagasfilhoi, originally described by Moraes Neto, Lanfredi & De Souza (1997) parasitizing the abdominal cavity of the wild rodent, Akodon cursor (Winge, 1887), was found in the abdominal cavity of Nectomys squamipes (Brants, 1827), from the municipality of Rio Bonito, Rio de Janeiro State, Brazil. This study led to addition of new morphological data and a new geographical distribution for this filarioid in Brazil. Several characters were detailed and emended to previous records of L. chagasfilhoi in N. squamipes, and confirming the original description in A. cursor: buccal capsule longer than wide with walls thinner than the lumen, right spicule slightly sclerotized, with membranous distal extremity slender, with a small tongue-like terminal portion, left spicule with handle longer than the blade, whose edges form large membranous wings folded longitudinally.